Support device for manual therapy

ABSTRACT

The invention relates to a shoulder joint abduction fixation orthotic device. The shoulder joint abduction fixation orthotic device comprises a forearm support frame, a C-shaped upper arm bracket, an armpit support frame, a line-shaped armpit movable shaft and an adjustable support. The forearm support frame, the C-shaped upper arm bracket and the armpit support frame are integrally formed and used for supporting the forearm, the upper arm and the armpit on one side respectively, the line-shaped armpit movable shaft is arranged between the C-shaped upper arm bracket and the armpit support frame, and the adjustable support with one end connected with the C-shaped upper arm bracket and the other end connected with the armpit support frame is used for adjusting the shoulder joint abduction angle. The shoulder joint abduction fixation orthotic device can effectively overcome the defects of an existing orthotic device and ensure the postoperative effect of shoulder periarticular operations.

TECHNICAL FIELD

The invention belongs to the technical field of orthotics used after bone and joint surgery, relates to an orthosis, and particularly relates to a shoulder joint abduction fixing orthosis.

BACKGROUND ART

With the development of diagnosis and treatment technology of shoulder joint diseases, the operation mode of rotator cuff tear is changed from small incision rotator cuff repair operation to full arthroscopic rotator cuff repair operation. Recent studies have found that reopening after arthroscopic rotator cuff repair is one of the most common complications of rotator cuff repair. Postoperative re-tearing involves a number of factors, of which a reliable post-operative in vitro fixation orthosis is important.

The abduction bag is used conventionally, a shoulder joint suspension belt is adopted in part, a metal shoulder joint abduction brace is used in part, and the problems of shoulder joint swelling, pain, later-stage shoulder joint activity limitation, operation failure and the like are caused by low compliance of a patient to treatment measures under the conditions of bed rest, turning over and moving on a bed or getting out of bed activities due to poor fixing stability and poor comfort.

DISCLOSURE Disclosure of Invention

The invention aims to provide a shoulder joint abduction fixing orthosis, which can effectively make up the defects of the existing orthosis and ensure the postoperative effect of the shoulder joint periphery operation.

The shoulder abduction fixation orthosis of the present invention comprises: the forearm support frame, the C-shaped upper arm support and the armpit support frame are integrally formed and are respectively used for supporting the forearm, the upper arm and the armpit on one side; the straight armpit movable shaft is arranged between the C-shaped upper arm support and the armpit supporting frame; one end of the adjustable bracket is connected with the C-shaped upper arm support, and the other end of the adjustable bracket is connected with the outer support frame and used for adjusting the abduction angle of the shoulder joint.

According to a further feature of the shoulder abduction fixation orthosis of the present invention, the adjustable brace includes three abduction angle fittings of 90°, 60°, 30° that are replaceable.

According to a further feature of the shoulder abduction fixation orthosis of the present invention, the integrally formed forearm support frame, C-shaped upper arm support and underarm support frame are further sewn with a breathable fiber mesh pad.

Preferably, the shoulder abduction fixation orthosis further comprises a detachable forearm fixation strap connected to the forearm support frame.

Preferably, the shoulder joint abduction fixation orthosis further comprises an upper arm fixation band connected to the C-shaped upper arm support.

Preferably, the shoulder abduction fixation orthosis further comprises a detachable waistband connected to the underarm support frame in a nylon buckle manner for fixing the underarm support frame to the waist.

Preferably, the shoulder joint abduction fixation orthosis further comprises a detachable shoulder strap and a shoulder strap fixing strap which are connected to the underarm supporting frame in a nylon buckle mode and used for fixing the opposite side shoulder.

Preferably, the shoulder abduction fixation orthosis further comprises a sponge pad sewn under the shoulder strap.

Compared with the prior art, the shoulder joint abduction fixation orthosis has the following advantages:

(1) the C-shaped upper arm support is the greatest innovation of the invention, not only effectively realizes the support and fixation of the humerus and the shoulder joint by the standing position of the upper arm, but also can realize the stable support and fixation of the upper arm and the shoulder when a patient has a rest in a lying position; the common support frame is adopted in the similar product, when a patient has a rest in a lying position, the upper arm is not supported enough, and due to the action of gravity, the upper arm is descended laterally, so that the shoulder joint postoperative fixation is influenced.

(2) The straight armpit movable shaft is adopted, so that the proximal humerus and shoulder joints can be sufficiently supported and fixed, the top point of the armpit can be effectively supported, the armpit is prevented from being suspended, abduction and adduction can be performed, and internal rotation or external rotation fixation can be performed. In the existing similar products, the armpit supporting part is a point or a rectangular surface, even an arc, so that the armpit is suspended, the proximal end of the humerus and the shoulder joint cannot be effectively fixed, and the armpit part of the shoulder joint loses effective support;

(3) the fixing mode of the shoulder straps in the shape of the Chinese character ‘ren’ is adopted, so that the fixing effect of the waist belt can be effectively supplemented, the fixing effect of the opposite shoulder is enhanced, and the shoulder straps are prevented from sliding up and down on the opposite shoulder when the shoulder straps are fixed; the like products usually adopt the straight shoulder straps, and the fixing effect on the side shoulders is not ideal;

(4) a semi-surrounding type armpit supporting frame is adopted, so that the armpit can be sufficiently supported and fixed; and a single thin metal bracket is generally adopted in the similar products.

(5) The adjustable support is used for adjusting the abduction angle of the shoulder joint, and in order to reduce the weight of the adjustable support and lighten the weight of the adjustable support, four abduction angle accessories of 90 degrees, 60 degrees, 45 degrees and 30 degrees are designed to be replaced.

(6) The shoulder joint abduction fixing orthosis adopts a light-weight alloy bracket and a breathable and environment-friendly mesh fixing belt; the orthoses with three types of sizes, namely large, medium and small, can be manufactured according to the body types of patients; is convenient for disassembly and nursing.

In conclusion, the shoulder joint abduction fixation orthosis disclosed by the invention can be organically combined with a shoulder joint, so that the postoperative fixation effect of the shoulder joint is ensured, the occurrence of complications after the shoulder joint operation is reduced, the fixation effect is good, the wearing comfort is good, the orthosis is simple and portable, the postoperative fixation of the shoulder joint can be completely met, the postoperative rehabilitation of the shoulder joint injury is facilitated, the treatment cost is reduced, and the satisfaction degree of the treatment effect is improved.

DRAWINGS DESCRIPTION

FIG. 1 is a schematic view of a shoulder abduction fixation orthosis according to the present invention.

FIG. 2 is a schematic view of a detachable fitting of the shoulder abduction fixation orthosis of the present invention.

FIG. 3 is a front schematic view of a shoulder abduction fixation orthosis according to the present invention being worn.

FIG. 4 is a side, dorsal view of a shoulder abduction fixation orthosis according to the present invention being worn.

INVENTION MODE

Detailed Description

The shoulder joint abduction fixation orthosis is used for fixing a shoulder joint after reconstruction. As shown in FIGS. 1 and 2, the orthosis comprises: the integrated forearm support frame 1, the C-shaped upper arm support 2 and the oxter support frame 3 are made of lightweight alloy materials and are used for supporting the whole upper limb and the lateral chest wall; the waistband 4, the shoulder belt 5 and the shoulder belt fixing belt 6 are made of breathable and environment-friendly net weaving materials; the waistband 4 is wide and fixes the waist in an encircling way; the shoulder belt sleeve type is used for fixing the opposite side shoulder; one end of the adjustable bracket 7 is connected with the C-shaped upper arm support, and the other end of the adjustable bracket is connected with the outer support frame; the upper arm fixing belt 8 is sewn on the C-shaped upper arm support 2 and used for fixing the upper arm; the forearm fixing strap 9 is sewed on the forearm support frame 1 and is used for fixing the forearm; a breathable fiber mesh pad 10 connected to the entire upper limb support for supporting the upper limb; a fixing adhesive sheet 11 for fixedly adhering the waist belt and the shoulder belt; the armpit movable shaft 12 is connected with the C-shaped upper arm support and the armpit supporting frame in a straight line shape; the metal bracket 13 is a combination of a C-shaped upper arm support and a forearm support frame; and the spongy cushion 14 is padded below the opposite shoulder belts and used for increasing the supporting area.

Preferably, the adjustable support 7 comprises three replaceable flared angle fittings of 90°, 60°, 30°.

Preferably, the integrally formed forearm support 1, C-shaped upper arm support 2 and underarm support 3 are further sewn with a breathable fiber mesh pad to better support the upper extremities.

Preferably, the C-shaped upper arm support 2 can stably fix the whole shoulder in a standing position and a lying position.

Preferably, the straight armpit movable shaft supports the armpit part to the maximum extent and can be adjusted by outward rotation or inward rotation.

An exemplary method of making a shoulder abduction fixation orthosis of the present invention includes the steps of:

(1) the forearm support frame, the C-shaped upper arm support frame and the oxter support frame are made of alloy materials into a whole;

(2) the C-shaped upper arm support and the armpit supporting frame are connected by a straight movable shaft;

(3) sewing a breathable fiber net protection pad, a forearm fixing strap, an upper arm fixing strap, a waistband and a shoulder strap on the integrated forearm support frame, the C-shaped upper arm support frame and the outer support frame;

(4) adjustable brackets are assembled below the middle part of the C-shaped upper arm support and at the side of the middle part of the outer support frame;

(5) and (5) wearing and debugging.

The design principle of the shoulder joint abduction fixing orthosis is as follows: according to the principle of postoperative dynamic and static combination and fixation. The shoulder tissue is fully fixed in the hyperplasia period of tissue healing to ensure that the repaired shoulder tissue is healed in the initial period, and the intervention of early functional exercise is ensured in the maturation period, thereby providing effective guarantee for the success of the operation and the recovery of the shoulder function.

The use method of the shoulder joint abduction fixation orthosis disclosed by the invention comprises the following steps: the postoperative side shoulder part is worn in time, and the position of the postoperative side shoulder part is fixed in different positions of 45 degrees, 60 degrees, 90 degrees and the like in an early stage according to the requirements of an operator. And the function exercise is carried out by adjusting the movable support under the protection in the later stage.

As shown in FIGS. 3 and 4, the shoulder abduction fixation orthosis of the present invention can be worn on a human body by a specific installation method:

the shoulder joint abduction fixing orthosis is worn and dismantled by two persons so as to ensure that the shoulder and the arm of a patient are in a safe and proper position. Previously, the patient's elbow was bent around 90°.

1. The angle of the shoulder joint needing abduction is adjusted in advance, and the orthosis is preset to the needed angle.

2. The shoulder belt, the belt buckle and the arm belt are unfastened.

3. The orthosis was brought from below to the arms and torso and the shoulders were draped diagonally over the opposite shoulders. The shoulder pad fixed on the shoulder belt is directly fixed at the position of the shoulder and the neck. The contralateral axillary lambdoidal shoulder straps are then secured. And finally, fixing the materials by using a nylon hasp.

4. The waistband is fixed by nylon buttons.

The shoulder joint abduction fixation orthosis is divided into 3 numbers, namely a big number, a middle number and a small number: I-shaped (suitable for the height of more than 1.75M), M-shaped (suitable for the height of 1.65M-1.75M) and S-shaped (suitable for the height of 1.50M-1.65M).

The invention relates to an indication of a shoulder abduction fixation orthosis, which comprises the following symptoms: the shoulder and arm fixing device is suitable for symptoms that the shoulder and arm needs to be abducted and fixed after operation and injury of the shoulder and arm, such as: the method comprises the following steps of rotator cuff tendon repair plastic surgery, reduction after upper arm dislocation, proximal humeral fracture, shoulder impact complications, shoulder prosthesis replacement and postoperative shoulder fixation.

The shoulder joint abduction fixation orthosis has the following functions: the shoulder abduction orthosis can achieve functional fixation of the shoulder joint by abduction of 0°, 30°, 45°, 60°, 90°.

Therefore, the shoulder joint abduction fixation orthosis can effectively relieve the burden of the shoulder joint and help a patient to recover early.

The wearing effect of the shoulder joint abduction fixing orthosis is as follows: the patients underwent assessment of shoulder joint function preoperatively and postoperatively using American Society Of Shoulder And Elbow Physicians score (ASES), the University Of California Shoulder Joint Scoring System UCLAS score (UCLAS), and Visual Analogue Score (VAS). The ASES, UCLASS and VAS scores of the treatment group are obviously better than those of the control group in the same period (P<0.05), and compared with the preoperative treatment, the pain, the function, the active anteflexion activity, the anteflexion strength and the subjective satisfaction of the shoulder joint are obviously improved (P<0.05) compared with the preoperative treatment. The shoulder joint abduction fixation orthosis provides an effective and reliable fixation mode for a patient after shoulder surgery, and is beneficial to early systematic and personalized shoulder joint rehabilitation training of the patient so as to promote effective shoulder joint function recovery. 

1. A shoulder abduction fixation orthosis, said orthosis comprising: the forearm support frame, the C-shaped upper arm support and the armpit support frame are integrally formed and are respectively used for supporting the forearm, the upper arm and the armpit on one side; the straight armpit movable shaft is arranged between the C-shaped upper arm support and the armpit supporting frame; one end of the adjustable bracket is connected with the C-shaped upper arm support, and the other end of the adjustable bracket is connected with the oxter support frame and used for adjusting the abduction angle of the shoulder joint.
 2. The shoulder abduction fixation orthosis of claim 1, wherein: the adjustable support comprises three replaceable abduction angle fittings of 90 degrees, 60 degrees and 30 degrees.
 3. The shoulder abduction fixation orthosis of claim 1, wherein: the integrally formed forearm support frame, the C-shaped upper arm support and the armpit support frame are also sewed with a breathable fiber mesh protection pad.
 4. The shoulder abduction fixation orthosis of claim 1, wherein: the forearm fixing device also comprises a detachable forearm fixing strap which is connected to the forearm supporting frame.
 5. The shoulder abduction fixation orthosis of claim 1, wherein: the C-shaped upper arm support is connected to the upper arm fixing belt.
 6. The shoulder abduction fixation orthosis of claim 1, wherein: the armpit supporting frame is characterized by further comprising a separable waistband which is connected to the armpit supporting frame in a nylon buckle mode and used for fixing the armpit supporting frame to the waist.
 7. The shoulder abduction fixation orthosis of claim 1, wherein: the shoulder belt fixing device also comprises a detachable shoulder belt and a shoulder belt fixing band which are connected on the armpit supporting frame in a nylon buckle mode and used for fixing the opposite side shoulder.
 8. The shoulder abduction fixation orthosis of claim 1, wherein: also comprises a spongy cushion which is sewed under the shoulder belt. 